Individual
JORDAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
195 ACADEMIC ATHLETIC CENTER, MOREHEAD, KY 40351
(606) 783-2392
Mailing address
195 ACADEMIC ATHLETIC CENTER, MOREHEAD, KY 40351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1270
KY
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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